Individual provider Active NPI

Deborah Lynn Gegg, LCSW

  • Social Worker
  • Webster Groves, MO
National Provider Identifier
1285607366
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
005540 Issued in MO
Practice address
7919 Big Bend Blvd Ste B
Webster Groves, MO 63119-2703
Phone
(314) 566-4247
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 005540 MO Primary

Addresses

Primary practice location

7919 Big Bend Blvd Ste B
Webster Groves, MO 63119-2703

Mailing address

11 Angest Lane
Webster Groves, MO 63119
Phone (314) 566-4247

Other identifiers 1

IdentifierTypeStateIssuer
499134104MedicaidMO

Other names 1

  • Deborah Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000258 MO Practitioner - Clinical Social Worker 2860677473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 W Lockwood Ave
Webster Groves, MO 63119-2931
Phone (314) 566-4247

7919 Big Bend Blvd
Suite B
Webster Groves, MO 63119-2703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gegg Counseling Solutions LLC CurrentSince Jun 1, 2012 Accepting new patients
Susic Psychological Consulting, PC PastSince Oct 1, 2014 Accepting new patients

Locations

7919 Big Bend Blvd
Ste B
Webster Groves, MO 63119
Phone (314) 537-7747

45 W Lockwood Ave
Ste 301
Webster Grvs, MO 63119
Phone (314) 566-4247

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1285607366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ANGEST LANE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-566-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 BIG BEND BLVD STE B",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192703",
            "telephone_number": "314-566-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGG",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "005540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499134104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "GREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster Groves, MO

Sources for this page

Verify at the official NPI Registry.